NCC205793_NOI Application_20201216

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/14/2020 9:00:19 AM (NCG01 NOI Submission)
Approve by Meloy, Michael 12/14/2020 2:13:12 PM (Review- Construction NOI 39013)
• Morman, Alaina reassigned the task to Meloy, Michael 12/14/2020 10:32 AM
• The task was assigned to Morman, Alaina by round robin distribution 12/14/2020 9:00 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 16, 2020 5:00
PM 12/14/2020 9:00 AM
Submit by Selkane, Aziza 12/16/2020 10:06:43 AM (Payment Verification for NCC205793)
* Benjamin Kuhn
• Selkane, Aziza assigned the task to Selkane, Aziza 12/16/2020 10:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 25, 2021 5:00 PM
12/14/2020 2:13 PM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
Are you submitting r No
an NOI that was r Yes
rejected before?
Previous Rejected 38773
NOI No.
Prior Reviewer Michael Meloy
Name
1a. Project Name * Falls at Weddington
1 b. Specific Lot This field may be used to list specffc lot numbers.
Numbers
1 c. Parcel ID List all R% associated w ith this project.
Number(s) (PIN) 06093291-06093359, 06093255-06093267,
06093270-06093277
2. County* Union
3. Highway or Street 406 Turtleback Ridge
Address* Street nacre only is acceptable if no address number assigned yet
4. Cityor Township* Weddington
5. State * NC
6. Zip Code * 28104
7. Latitude* Enter the latitude in decimal degrees
35.0433
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-80.7233
If you do not know the latitude and longitude coordinates for this project, you can search the location on this map of
North Carolina. Look for the coordinates in the bottom left corner.
9. Date to Begin* 12/09/2020
Estimated Construction Project Start Date
10. Date to End* 07/15/2022
Estimated Construction Project End Cate

11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521)
Standard Industrial aassification for Development
12. Acres to be 94.20
disturbed* (including off -site borrow and waste areas)
13. Total site area 183.00
(acres) *
14. Post- 44.00
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-UNION-2020-Falls at Weddington
Tracking ID Assigned automatically
Below you must enter waterbody information for surface waters affected by this project. Please consult
DWR's Surface Water Classifications Map Viewer to find waterbody name and corresponding index number. Please
enter only immediate receiving waterbodies - not waters downstream of those unless the project extends there. You
may enter up to 3 waterbodies if needed.
15a. Receiving Six Mile Creek
Waterbody* %rreof waterbody into which stormwater runoff will discharge
15b. Waterbody 11-138-3
Index No. * NCWaterbody Index Nunber
Stormwater V No
discharges will flow r Yes
to additional
wate rs *
16a. Is this project r Yes
subject to the NC r No, not subject to NC SPCA
Sediment Pollution
Control Act?*

B. Permittee Information
Part B. ^
F2rnittee Inforrration - Legally Fbsponsible Entity and Individual
Important: The person who signs the NOI Certification Form and signs the Certification in Section E of this application
form should be the same person as listed in THIS SECTION, or an authorized responsible individual within the same
organization. That person must be a responsible corporate officer who owns or operates the construction activity, such
as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV,
Section B, Item (6) of the NCG010000 General Permit. For more information on signatory requirements, see Part
IV, Section B, Item (6) of that permit.
1. Organization Legally Pesponsible Entity
Name * JCH Falls, LLC
It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
Note: The organization name must match the business entity name registered with the NC Secretary of State. You can
verify the registration here.
2. First Name * Robert
If Corporation, enter Faegistered Agent First %rre
3. Last Name* Kreisher
It Corporation, enter F;bgistered Agent Last %rre
3b. Title Sales Director - Charlotte
4. Permitee E-mail [e-mail]
Address*
5. Permittee 704-909-9246
Telephone No.*
6. Permittee Mailing Street Address
Address* 370 Centerpointe Circle, Suite 1136
Address Line 2
City State / Frovince / Pegion
Altamonte Springs FL
Fbstal / Zip Code Country
32701 USA
Check box if the F Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
370 Centerpointe Circle, Suite 1136
Address Line 2
City
State / Frovince / Faegion
Altamonte Springs
FL
Fbstal / Zip Code
Country
32701
USA
8. Type of
Ojvnership is only individual if an individual is naned in B.1. above.
Ownership*
Non -Government

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Ben
Contact - First
Name *
2. Primary Site
Kuhn
Contact - Last
Name *
3. Title
VP Land Development
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
704-909-9246
Telephone No.
6. Organization
Jones Homes USA
Name
7. Site Contact
Street Address
Mailing Address*
414 Turtleback Ridge
Address Line 2
City
Weddington
Fbstal / Zip Code
28104-0022
8. Consultant Name
(Optional)
First and Last nacre
9. Consultant E-mail
This person will be copied on all correspondence.
10. Consultant
Telephone No.
State / Rovince / Region
NC
Country
US

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 11/20/2018
Approved *
2. E&SC Plan Project Union-2019-027
Number/ID * Assigned by agency or local program
3. E&SC Plan r State DEQ Office
Approved by* r Local Program
4. State DEQ Office * Mooresville (MRO)
Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a
complete application. For linear projects, please also upload a site map showing the overall extent of the project or
include the beginning point and end point coordinates in the "Notes" box below.
5. E&SC Plan 0347_001.pdf 294.31KB
Approval letter or Mast beRDFformat
Grading Permit
6. Site Location Map Mist be RDFforrret (lint 20 NB)
Site Location Map.pdf 401 KB
Rease do not upload entire set of E&SC plans.
7. Notes (Optional) Rovide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies for linear projects if necessary.
8. NOI Certification Revised NOI form.pdf 106.65KB
Form Wst be RDF format
This is an Express r No
Review Project* r Yes

E. Certification
North Carolina General Statute 143-215.66 (1) provides that:
Any person who knowingly makes anyfalse statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement
of a material fact in a rulemaking proceeding or contested case under this Artcle; or who falsifies, tampers with, or knowingly renders
inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
Commission implementing this Artcle shall be guilty ofa Class 2 misdemeanor which may include a fine not to exceed ten thousand
dollars ($10,000).
Under penalty of law, I certify that:
17 I am the person responsible for the construction activities of this project, for
satisfying the requirements of this permit, and for any civil or criminal penalties
incurred due to violations of this permit.
rJ The information submitted in this NOI is, to the best of my knowledge and belief,
true, accurate, and complete based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the
information.
* 17 I will abide by all conditions of the NCG010000 General Permit and the
approved Erosion and Sediment Control Plan.
* rJ I hereby request coverage under the NCG010000 General Permit and
understand that coverage under this permit will constitute the permit
requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
Specify if you are:* IT The Legally Responsible Person named on this Notice of Intent
f Authorized Responsible Person* (signing on behalf of Legally Responsible
Person named in Part B)
Important: The person who electronically signs this Certification above must be the same person who signs the NOI
Certification Form. If that person is signing on behalf of the Permittee, that individual must be an authorized responsible
person within the same organization as the Permittee. *An authorized individual is a responsible corporate officer who
owns or operates the construction activity, such as a president, secretary, treasurer, or vice president, or a manager
that is authorized in accordance with Part IV, Section B, Item (6) of the NCG010000 General Permit. For more
information on signatory requirements, see Part IV, Section B, Item (6) of that permit.
Signature
Type Name * Robert Kreisher
Title Sales Director - Charlotte
Organization Legally Responsible Entity
JCH Falls, LLC
Date * 12/14/2020

F. Tracking and COC Info
NOI Tracking No. 39013
NC Reference No.
NCG01-2020-5793
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC205793
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5793
Sequential nurrber for subrrittal that is incremented by Stored Frocedure
COC Year 2020
Year of date reviewed (used to assign YY digits after "NOC' in COCno.)
Initial Invoice No. NCC205793-2020
Invoice Due Date 1/13/2021
Initial Fee $ 100.00
Invoice Status OPEN